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Texas rates for HCPCS A4355

Irrigation tubing set for continuous bladder irrigation through a three-way indwelling Foley catheter, each

Facilitymedian $12 · 10th–90th $7$350%10%10th90th$12Professionalmedian $7 · 10th–90th $5$100%10%20%10th90th$7$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.59 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $14.13 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.94 / $9.33
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.13 / $5.13
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $93.33 / $93.33
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $10.23 / $16.98
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.94 / $12.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $9.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $10.00 / $16.98
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.13 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $5.13 / $7.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.75 / $7.59
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $12.59 / $12.59